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STATUTORY WARNING

PROHIBITION OF REBATES
(Under Section 41 of Insurance Act 1938)

11,694
Family Protect
12,600

20,051

23,580
1) No person shall allow or offer to allow, either directly or indirectly as an inducement to any person
4 lac to take out or renew or continue an insurance in respect of any kind of risk relating to lives or
2 Adults + 2 Kids

property, in India, any rebate of the whole or part of the commission payable or any rebate of the
- premium shown on the policy, nor shall any person taking out or renewing or continuing a Policy
accept any rebate, except such rebate as may be allowed in accordance with the published
prospectuses or tables of the Insurer.
2) Any person making default in complying with the provisions of this section shall be punishable
D

with fine, which may extend to five hundred rupees.

An Insurance Package
14,088

16,609
7,769

8,784
3 lac
-

For All In Your Family
Ahmedabad 6630 9877 Bangalore 4118 7464
10,415

17,867

21,395
9,510
4 lac
2 Adults + 1 Kid

Chandigarh 505 5707 Chennai 4201 7877
-

Coimbatore 438 7877 Hyderabad 2312 8511
Indore 402 7877 Kochi 98954 77877
All prices are inclusive of Service Tax, Education Cess & TPA fees.

Kolkata 98313 77877 Lucknow 99351 47877
C

Mumbai 2830 7711 Pune 98900 17877
Andhra Pradesh 98495 77877 Delhi 98181 77877
12,646

15,166

Gujarat 98982 77877 Karnataka 98455 77877
6,326

7,341
3 lac

Kerala 98954 77877 Maharashtra 98900 17877
-

Madhya Pradesh 98930 47877 Rajasthan 98297 96547
Tamil Nadu 98944 77877
15,682

19,211
7,325

8,231

For Further Details Pertaining to Claims:
4 lac
-

CALL: 1800-425-8885, 1800-425-7878 & 1800-425-8854*
2 Adults

For Further Details Pertaining to Policy Documents:
B

CALL: 1800-22-2030*
11,203

13,723
4,884

5,898
3 lac
-
2,405

3,256

3,932

7,002

8,577
3 lac

Cashless service available
One Year Cover

Individual

at over 3400 Hospitals
A

2,090

2,825

3,539

6,301

7,719
2 lac

Mailing Address
ICICI Lombard General Insurance Company Limited,
Zenith House, Keshavarao Khadye Marg,
Opp. Race Course, Mahalaxmi, Mumbai-400 034.
PREMIUM TABLE (RS.)

Registered Office
ICICI Lombard General Insurance Company Limited,
Age of Senior
Most Member

ICICI Bank Towers, Bandra-Kurla Complex, Mumbai-400 051.
19 yrs. - 35 yrs.

36 yrs. - 45 yrs.

46 yrs. - 55 yrs.

56 yrs. - 60 yrs.
5 yrs. - 18 yrs.

ICICI Lombard General Insurance Co. Ltd.
Insurance is the subject matter of the solicitation. Misc 34E.

This brochure contains only a brief description of the
ICICI Lombard Health Care Insurance Policy. For complete details, www.icicilombard.com
070012BO

refer to the insurance policy wordings available on request.
ICICI Lombard General Insurance Co. Ltd.
* Accessible through MTNL/BSNL line only Insurance is the subject matter of the solicitation.

even though there was no claim from Mr.10. Thus making available to every member a 8885/7878/8854 for complete health assistance. a boon for those times when you need · All other relevant details and documents connected to · Surgery on tonsils and sinuses finance the most. or misuse of liquor.4 lacs. riot.000 per eye is applicable of full premium amount by the company.20. · Gastric and Duodenal ulcers Note: Acceptance of your proposal would be subject to receipt of complete * Only expenses relating to hospitalization will be reimbursed as medical reports (wherever applicable). * Conditions apply. Choose from various payment options of Cheque / EASY PAYMENT · Congenital Disease. .1. · Sinusitis and related disorders · Hospital Bill with Receipt for payment. · Arthritis. · Named advanced technological surgeries & procedures that · Expenses arising from HIV or AIDS and related diseases. just use your Kumar and his wife. policy. COVERAGES the policy for the first 4 years. premium paid as per provisions of Lombard designated diagnostic centers.hospitalisation consecutive days or more. some TAX Protect. U n d e r Fa m i l y ELIGIBILITY Life is full of surprises. the cover of Rs. stamped and preferably numbered. except accidents. · Cataract* bill of their son amounts to Rs. Credit card. Kumar would thus have the entire Rs. gout. but are covered subsequently. intoxicating substances or drugs as well as intentional self injury. nuclear weapons induced hospitalization FLOATER Family Protect. filled fully after discharge from hospital and sent to TTK office along with the following documents in original *. under a regular health BENEFIT hospitalised for any bodily injury or illness as years.3 lacs.40. Mr.hospitalisation · Non-allopathic treatment. rheumatism cover of Rs. reimbursed. your spouse or your child.000 if the Insured is There are certain ailments which are not covered in the first two covered for Rs. including breast lumps unless malignant / adenoids and Simply use your Family Protect ID Card at any of the hemorrhoids · Pathological reports and other investigation reports along with CASHLESS 3400 + network hospitals and avail cashless · Dialysis required for chronic renal failure the doctor's authorization. Anyone in your family can avail of cover under OPTION · War. the receipt should be · Stones in the urinary and biliary systems Treatment amount covered without any specific NO SUB sublimit. They would have paid premiums for 3 one-lac policies.1. medical underwriting and realisation per the policy coverage. the regular health policy · Benign Prostatic Hypertrophy HOW DO I CLAIM MY INSURANCE? would cover Rs. In an covered under the policy. Kumar. is eligible EXCLUSION–FIRST TWO YEARS Example: Mr. 1986. Pregnancy & Childbirth-related · 60 days post-hospitalisation diseases. Company Limited brings you (Amendment) Act.. Kumar would have to pay the · Myomectomy. use Family Protect require less than 24 hours of hospitalisation*.4 lacs For treatment in non-network hospitals: The claim form must be · Joint replacements unless due to accident medical expenses covered for his son. hospitalization. · Skin and all internal tumors / cysts / nodules / polyps of any kind · Discharge summary from the hospital. Children between the ICICI Lombard General Insurance Section 80D* of the Income Tax age of 3 months to 5 years will be covered only under a floater plan.1 lac while Mr. a complete Health *Subject to changes in tax laws EXCLUSIONS UNDER FAMILY PROTECT Insurance Plan that is flexible enough to cover all members of Covers medical expenses incurred during · Any illness / disease / injury existing before the inception of your family. A FLEXIBLE Health Insurance Plan for your family brought to you by ICICI Lombard General Insurance Company Ltd. · Fistula in anus. cosmetic aesthetic & obesity-related treatment. Hydrocele With Family Protect. The insured once during the policy period. his wife and their son are CONVALESCENCE for a benefit amount of Rs. Piles the entire Kumar family. you can bitter. service.000. · 30 days pre. Family Protect. hospitalisation for more than 24 hours. Call our 24-hour toll-free number 1800-425. Hysterectomy unless because of malignancy balance Rs. benefits on your above have to compulsorily undergo medical tests at ICICI accidents and sudden illnesses. In case of emergency or planned hospitalisation. For medical BENEFITS avail of tax Individual(s) proposed for insurance whose age are 55 years and emergencies like surgeries. strike. some sweet. Non-medical expenses will not be * After 2 years a sub-limit of Rs.. It can be you. for as period of 10 unforeseen situation wherein a surgery and post. Family Protect Health ID Card at our network hospitals and avail of · Hernia.3 lacs would be shared among cashless service. · Dilatation and curettage LIMIT · Doctors prescription and medicine bills. · Any medical expenses incurred during the first 30 days of brings you many unique benefits inception of the policy. th · Pre-existing diseases can be covered after 4 Year*.1 lac each.

218 3 lac - For All In Your Family Ahmedabad 6630 9877 Bangalore 4118 7464 Chandigarh 505 5707 Chennai 4201 7877 17. * Accessible through MTNL/BSNL line only Insurance is the subject matter of the solicitation. . PREMIUM TABLE (RS. Zenith House.) Registered Office ICICI Lombard General Insurance Company Limited.438 3. This brochure contains only a brief description of the www.680 38. .446 8.160 property.154 4.860 7. Opp.085 6. . Age of Senior Most Member ICICI Bank Towers. Bandra-Kurla Complex. Race Course. Mumbai-400 051.748 33. 46 yrs. 36 yrs. H An Insurance Package 13.370 2 lac Mailing Address ICICI Lombard General Insurance Company Limited.972 15.285 27. For complete details.60 yrs.098 47. 070012BO refer to the insurance policy wordings available on request. Mumbai-400 034. . Keshavarao Khadye Marg. Education Cess & TPA fees.947 42.026 30. in India.616 21.45 yrs. Ltd. ICICI Lombard General Insurance Co.050 22.55 yrs.com ICICI Lombard Health Care Insurance Policy. except such rebate as may be allowed in accordance with the published prospectuses or tables of the Insurer.768 33.422 4 lac CALL: 1800-425-8885.18 yrs. nor shall any person taking out or renewing or continuing a Policy - accept any rebate.796 38. 19 yrs.332 3 lac Kerala 98954 77877 Maharashtra 98900 17877 - Madhya Pradesh 98930 47877 Rajasthan 98297 96547 Tamil Nadu 98944 77877 For Further Details Pertaining to Claims: 13.791 4 lac 2 Adults + 1 Kid Coimbatore 438 7877 Hyderabad 2312 8511 - Indore 402 7877 Kochi 98954 77877 All prices are inclusive of Service Tax. .213 24. ICICI Lombard General Insurance Co. 5 yrs.185 14.762 5. which may extend to five hundred rupees. 1800-425-7878 & 1800-425-8854* - 2 Adults For Further Details Pertaining to Policy Documents: CALL: 1800-22-2030* F 10.816 29.792 3 lac - 13. Ltd.303 17. Insurance is the subject matter of the solicitation.117 18. STATUTORY WARNING PROHIBITION OF REBATES (Under Section 41 of Insurance Act 1938) Family Protect 1) No person shall allow or offer to allow.387 13.811 26. 2) Any person making default in complying with the provisions of this section shall be punishable with fine. Kolkata 98313 77877 Lucknow 99351 47877 Mumbai 2830 7711 Pune 98900 17877 G Andhra Pradesh 98495 77877 Delhi 98181 77877 Gujarat 98982 77877 Karnataka 98455 77877 11.35 yrs. Misc 34E. Mahalaxmi. either directly or indirectly as an inducement to any person to take out or renew or continue an insurance in respect of any kind of risk relating to lives or 21.077 3 lac Cashless service available Two Year Cover Individual at over 3400 Hospitals E 11. .985 15.icicilombard. 56 yrs. any rebate of the whole or part of the commission payable or any rebate of the 2 Adults + 2 Kids 4 lac premium shown on the policy.329 5.

* Only expenses relating to hospitalization will be reimbursed as per * Family Protect is also available in one year. There are certain ailments which are not covered in the first their son amounts to Rs. · Non-allopathic treatment. rheumatism NO SUB HOW DO I CLAIM MY INSURANCE? sublimit. except accidents.4 lacs. · All other relevant details and documents connected to 2 YEARS without any increase in premium.40. the regular health policy would cover OPTION two years.000. medical underwriting and realisation of full premium amount by the company. Family Protect Covers medical expenses incurred during hospitalisation for more than 24 hours.000 per eye is applicable family is under protection for 2 consecutive years. · Hospital Bill with Receipt for payment.4 lacs medical BENEFIT hospitalised for any bodily injury or illness as covered under the policy. under a regular health policy. more.hospitalisation intentional self injury. Health check as per details following documents in original *.1. In an EXCLUSION – FIRST TWO YEARS Choose from various payment options of Cheque / unforeseen situation wherein a surgery and post. Individual(s) proposed for insurance whose age are 55 years and above emergencies like surgeries.3 lacs would be shared among the The insured once during the policy period. you can Pr o t e c t . 8 0 D * o f t h e I n c o m e Ta x policy for the first 4 years. · Discharge summary from the hospital. Kumar would thus have the entire Rs. nuclear weapons induced hospitalization Example: Mr. Pregnancy & Childbirth-related diseases. Hysterectomy unless because of malignancy Rs.1. designated diagnostic centers. the cover of Rs. · Expenses arising from HIV or AIDS and related diseases. Mr. gout. · Surgery on tonsils and sinuses reports (wherever applicable). undergo renewal hassles after one year. Piles Treatment amount covered without any specific · Arthritis. a s o m e s w e e t . for as period of 10 consecutive days or · Hernia.10. Kumar and his wife.1 lac while Mr. It can be you. riot. Company Limited brings you Family TAX Protect. They would have paid premiums for 3 one-lac policies. Protect. the receipt should be stamped and preferably numbered. some bitter. FLOATER · War. Non-medical expenses will not be reimbursed. fully after discharge from hospital and sent to TTK office along with the · Skin and all internal tumors / cysts / nodules / polyps of any kind including breast lumps unless malignant / adenoids and * Applicable only for 2 year Floater plans. brings you many unique benefits · Any medical expenses incurred during the first 30 days of inception · 60 days post-hospitalisation of the policy. · Cataract* With Family Protect.. the policy coverage. strike. · Dialysis required for chronic renal failure Note: Acceptance of your proposal would be subject to receipt of complete medical · Doctors prescription and medicine bills. . · Fistula in anus. intoxicating substances or drugs as well as COVERAGES · 30 days pre. · Congenital Disease. Kumar would have to pay the balance Rs. Children between the age of 3 months ICICI Lombard General Insurance U n d e r Fa m i l y to 5 years will be covered only under a floater plan. covered for Rs.1 lac each. 1986.20. · Pre-existing diseases can be covered after 4th Year*. nor do you have to hospitalization. his wife and their son are * Conditions apply.3 lacs. Thus making available to every member a cover of CONVALESCENCE a benefit amount of Rs. use or misuse of liquor. Kumar. · Gastric and Duodenal ulcers · Pathological reports and other investigation reports along with the Renewal only after 2 years which means that your doctor's authorization. even though there was no claim from Mr. your spouse or your child. is eligible for · Benign Prostatic Hypertrophy entire Kumar family.hospitalisation bill of EASY PAYMENT Credit card. but are covered subsequently. * After 2 years a sub-limit of Rs.000 if the Insured is · Myomectomy. Simply use your Family Protect ID Card at any of the ELIGIBILITY 3400 + network hospitals and avail cashless service. Fo r m e d i c a l CASHLESS boon for those times when you need finance the most. · Named advanced technological surgeries & procedures that Anyone in your family can avail of cover under Family require less than 24 hours of hospitalisation*. · Joint replacements unless due to accident LIMIT In case of emergency or planned hospitalisation. just use your Family · Sinusitis and related disorders Protect Health ID Card at our network hospitals and avail of cashless service. Rs. Hydrocele expenses covered for his son. Life is full of surprises. *Subject to changes in tax laws cosmetic aesthetic & obesity-related treatment.. (Amendment) Act. a c o m p l e t e H e a l t h BENEFITS avail of tax benefits Insurance Plan that is flexible on your premium EXCLUSIONS UNDER FAMILY PROTECT enough to cover all members of your paid as per provisions of Section · Any illness / disease / injury existing before the inception of the family. have to compulsorily undergo medical tests at ICICI Lombard accidents and sudden illnesses. Call our 24-hour toll-free number 1800-425-8885/7878/8854 · Stones in the urinary and biliary systems Family Protect comes with a free health check for you for complete health assistance. A FLEXIBLE Health Insurance Plan for your family brought to you by ICICI Lombard General Insurance Company Ltd. hemorrhoids given in the coupon. FREE HEALTH and Discount Coupons for health check* of other · Dilatation and curettage For treatment in non-network hospitals: The claim form must be filled CHECK members in your family.